| NPI | 1982113718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BREEDING President 303-668-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-03-22 |